Knees Archive

People with knee osteoarthritis may prevent future knee pain and reduce joint damage by walking for exercise.

People with knee osteoarthritis often gain temporary pain relief from joint injections. However, there is uncertainty about long-term risks of steroid injections. A 2022 study suggests that the risk may be minimal if these injections are done infrequently.

I have a Baker's cyst in my right knee. It has been drained twice and recurred. Are there any other treatments for it?

Platelet-rich plasma injections are used to reduce pain and speed healing for a number of common problems that affect the tendons, muscles, and joints, ranging from arthritis to shoulder pain. But a growing body of research shows that they may not be effective for some conditions, including knee osteoarthritis, ankle osteoarthritis, and Achilles tendinitis. There is some evidence that it may be effective for lateral epicondylitis (tennis elbow). People should consider whether there is a better option before undergoing PRP injections.

Osteoarthritis (OA) is the number one cause of chronic knee pain, affecting nearly a quarter of people 40 or older. A recent study of people with overweight or obesity and OA showed that telehealth visits can be an effective way to provide care and may even help with weight loss, which can improve symptoms and prevent OA from worsening.

News briefs

When you have knee pain, you just want it to go away so you can walk without having to limp or wince with every step. And a small, randomized trial published online Jan. 12, 2021, by Annals of Internal Medicine found that one type of shoe might be best for the job. Researchers took 164 people ages 50 or older with moderate or severe knee arthritis and randomly assigned half of the group to wear stable, supportive shoes with thick soles that didn't bend much. The other half was assigned flat shoes with thin, flexible soles, which are believed by some to provide a benefit by allowing more natural movement of the leg and foot. Both groups wore their assigned shoes for six hours per day and took part in activities such as walking during that time. After six months, 58% of people in the stable, supportive shoe group reported a reduction in knee pain while walking, compared with 40% of people reporting pain reduction after wearing the flat, flexible shoes. In both groups, the pain reduction probably was a benefit of regular walking. The people wearing flexible shoes were also twice as likely to develop ankle or foot pain, compared with those wearing sturdy shoes. So if you have knee pain, keep walking — in sturdy shoes.

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